Healthcare Provider Details

I. General information

NPI: 1669416004
Provider Name (Legal Business Name): HARBORVIEW MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2006
Last Update Date: 02/25/2021
Certification Date: 02/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 9TH AVE
SEATTLE WA
98104-2420
US

IV. Provider business mailing address

PO BOX 359885
SEATTLE WA
98195-9885
US

V. Phone/Fax

Practice location:
  • Phone: 206-223-3218
  • Fax:
Mailing address:
  • Phone: 206-598-6055
  • Fax: 206-598-6075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License NumberHF00000985
License Number StateWA

VIII. Authorized Official

Name: STEVE FIJALKA
Title or Position: CHIEF PHARMACY OFFICER
Credential:
Phone: 206-744-3377